Active NPI
Bailey Matthews
- Speech-Language Pathologist
- Washington, IN
National Provider Identifier
1649909672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46004078A
- Practice address
- 1694 Troy Rd
Washington, IN 47501-8216 - Phone
- (812) 610-2395
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46004078A | IN | Primary |
Addresses
Primary practice location
1694 Troy Rd
Washington, IN 47501-8216
Mailing address
664 S Persimmon LN
Princeton, IN 47670-8847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Bentee Wes Court
C/O Walnut Creek
Evansville, IN 47715-4071
Phone (812) 618-3389
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46004078A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients | |
| Paragon Outpatient Rehabilitation Services, LLC | Current | Accepting new patients |
Locations
525 Bentee Wes Ct
Evansville, IN 47715
Phone (812) 471-3100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1871867325
IN
-
- Rehabilitation Clinic/Center
- Roxboro, NC
- NPI 1245014380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1649909672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 S PERSIMMON LN",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476708847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1694 TROY RD",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "475018216",
"telephone_number": "812-610-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "BAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46004078A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.